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Volumetric dimensional changes of autogenous bone and the mixture of hydroxyapatite and autogenous bone graft in humans maxillary sinus augmentation. A multislice tomographic study

Identifieur interne : 004D53 ( Istex/Corpus ); précédent : 004D52; suivant : 004D54

Volumetric dimensional changes of autogenous bone and the mixture of hydroxyapatite and autogenous bone graft in humans maxillary sinus augmentation. A multislice tomographic study

Auteurs : Mauricio G. Cosso ; Rui B. De Brito Jr ; Adriano Piattelli ; Jamil A. Shibli ; Elton G. Zen Bio

Source :

RBID : ISTEX:9AE00B35BDA994DA07FD18485F947A9E240ED8B6

Abstract

This multislice tomographic study evaluated the dimensional changes after maxillary sinus augmentation using autogenous bone or a mixture of hydroxyapatite and autogenous bone.

Url:
DOI: 10.1111/clr.12261

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ISTEX:9AE00B35BDA994DA07FD18485F947A9E240ED8B6

Le document en format XML

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<head>Abstract</head>
Purpose
<p>This multislice tomographic study evaluated the dimensional changes after maxillary sinus augmentation using autogenous bone or a mixture of hydroxyapatite and autogenous bone.</p>
Materials and methods
<p>Ten selected patients, requiring a bilateral maxillary sinus augmentation, were divided, in a split mouth, design as follows:
<hi rend="italic">control group</hi>
(
<hi rend="fc">CG </hi>
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
10 sinus grafted with autogenous bone) and
<hi rend="italic">test group</hi>
(
<hi rend="fc">TG</hi>
,
<hi rend="italic"></hi>
=
<hi rend="italic"> </hi>
10 sinus grafted with a mixture of hydroxyapatite and autogenous bone at 80 : 20 w/w). Follow a healing period of 15 and 180 days, computed tomography (
<hi rend="fc">CT</hi>
) measurements were taken by two blinded and calibrated examiners to verify the volumetric dimensional changes of the both groups.</p>
Results
<p>The interobserver agreement obtained ranged from good to excellent for both groups. Both groups presented significant dimensional changes after 180 days period healing (
<hi rend="italic"></hi>
<
<hi rend="italic"> </hi>
0.05). The volumetric reduction in test group was lower (25.87%) when compared with the CG (42.30%) (
<hi rend="italic"></hi>
<
<hi rend="italic"> </hi>
0.05).</p>
Conclusion
<p>The both graft materials improved the bone volumetric ability to anchorage a dental implant. Moreover, the mixture of
<hi rend="fc">HA</hi>
and autogenous bone graft showed lower degree of resorption and higher dimensional stability when compared with autogenous bone graft alone, at least at 180 days of healing. The
<hi rend="fc">CT</hi>
exam protocol should be used as an important tool to measure bone grafts volumetric alterations.</p>
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<givenNames>Adriano</givenNames>
<familyName>Piattelli</familyName>
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<personName>
<givenNames>Jamil A.</givenNames>
<familyName>Shibli</familyName>
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<creator affiliationRef="#clr12261-aff-0001" creatorRole="author" xml:id="clr12261-cr-0005">
<personName>
<givenNames>Elton G.</givenNames>
<familyName>Zenóbio</familyName>
</personName>
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<affiliation countryCode="BR" type="organization" xml:id="clr12261-aff-0001">
<orgDiv>Department of Dentistry – Implant Master Program</orgDiv>
<orgName>PUC‐Minas</orgName>
<address>
<city>Belo Horizonte</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="clr12261-aff-0002">
<orgName>Post‐graduate Program of CPO SLM‐SP</orgName>
<address>
<city>Campinas</city>
<country>Brazil</country>
</address>
</affiliation>
<affiliation countryCode="IT" type="organization" xml:id="clr12261-aff-0003">
<orgDiv>Department of Medical, Oral and Biotechnological Sciences</orgDiv>
<orgName>University of Chieti‐Pescara</orgName>
<address>
<city>Chieti</city>
<country>Italy</country>
</address>
</affiliation>
<affiliation countryCode="BR" type="organization" xml:id="clr12261-aff-0004">
<orgDiv>Department of Oral Implantology and Periodontology</orgDiv>
<orgName>UNG</orgName>
<address>
<city>Guarulhos</city>
<country>Brazil</country>
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<keyword xml:id="clr12261-kwd-0001">autogenous bone graft</keyword>
<keyword xml:id="clr12261-kwd-0002">computed tomography</keyword>
<keyword xml:id="clr12261-kwd-0003">graft dimensional change</keyword>
<keyword xml:id="clr12261-kwd-0004">hydroxyapatite</keyword>
<keyword xml:id="clr12261-kwd-0005">maxillary sinus bone augmentation</keyword>
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<title type="main">Abstract</title>
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<title type="main">Purpose</title>
<p>This multislice tomographic study evaluated the dimensional changes after maxillary sinus augmentation using autogenous bone or a mixture of hydroxyapatite and autogenous bone.</p>
</section>
<section xml:id="clr12261-sec-0002">
<title type="main">Materials and methods</title>
<p>Ten selected patients, requiring a bilateral maxillary sinus augmentation, were divided, in a split mouth, design as follows:
<i>control group</i>
(
<fc>CG </fc>
<i></i>
=
<i> </i>
10 sinus grafted with autogenous bone) and
<i>test group</i>
(
<fc>TG</fc>
,
<i></i>
=
<i> </i>
10 sinus grafted with a mixture of hydroxyapatite and autogenous bone at 80 : 20 w/w). Follow a healing period of 15 and 180 days, computed tomography (
<fc>CT</fc>
) measurements were taken by two blinded and calibrated examiners to verify the volumetric dimensional changes of the both groups.</p>
</section>
<section xml:id="clr12261-sec-0003">
<title type="main">Results</title>
<p>The interobserver agreement obtained ranged from good to excellent for both groups. Both groups presented significant dimensional changes after 180 days period healing (
<i></i>
<
<i> </i>
0.05). The volumetric reduction in test group was lower (25.87%) when compared with the CG (42.30%) (
<i></i>
<
<i> </i>
0.05).</p>
</section>
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<title type="main">Conclusion</title>
<p>The both graft materials improved the bone volumetric ability to anchorage a dental implant. Moreover, the mixture of
<fc>HA</fc>
and autogenous bone graft showed lower degree of resorption and higher dimensional stability when compared with autogenous bone graft alone, at least at 180 days of healing. The
<fc>CT</fc>
exam protocol should be used as an important tool to measure bone grafts volumetric alterations.</p>
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<title>Volumetric dimensional changes of autogenous bone and the mixture of hydroxyapatite and autogenous bone graft in humans maxillary sinus augmentation. A multislice tomographic study</title>
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<name type="personal">
<namePart type="given">Mauricio G.</namePart>
<namePart type="family">Cosso</namePart>
<affiliation>Department of Dentistry – Implant Master Program, PUC‐Minas, Belo Horizonte, Brazil</affiliation>
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<name type="personal">
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<abstract>This multislice tomographic study evaluated the dimensional changes after maxillary sinus augmentation using autogenous bone or a mixture of hydroxyapatite and autogenous bone.</abstract>
<abstract>Ten selected patients, requiring a bilateral maxillary sinus augmentation, were divided, in a split mouth, design as follows: control group (CG n = 10 sinus grafted with autogenous bone) and test group (TG, n = 10 sinus grafted with a mixture of hydroxyapatite and autogenous bone at 80 : 20 w/w). Follow a healing period of 15 and 180 days, computed tomography (CT) measurements were taken by two blinded and calibrated examiners to verify the volumetric dimensional changes of the both groups.</abstract>
<abstract>The interobserver agreement obtained ranged from good to excellent for both groups. Both groups presented significant dimensional changes after 180 days period healing (P < 0.05). The volumetric reduction in test group was lower (25.87%) when compared with the CG (42.30%) (P < 0.05).</abstract>
<abstract>The both graft materials improved the bone volumetric ability to anchorage a dental implant. Moreover, the mixture of HA and autogenous bone graft showed lower degree of resorption and higher dimensional stability when compared with autogenous bone graft alone, at least at 180 days of healing. The CT exam protocol should be used as an important tool to measure bone grafts volumetric alterations.</abstract>
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<topic>graft dimensional change</topic>
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